ABBEVILLE DIALYSIS – NPI #1720305774
Clinic/Center

ABBEVILLE DIALYSIS is an AHC clinic located in ABBEVILLE, SC. NPPES has assigned the NPI number 1720305774 to ABBEVILLE DIALYSIS on April 30, 2010. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “ABBEVILLE DIALYSIS” is a dba name, the actual legal business name for this organization is TOTAL RENAL CARE INC. The primary taxonomy selected by this provider is 261QE0700X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in End-Stage Renal Disease (ESRD) Treatment

The NPI profile was previously updated about 4 years ago on Mar 31, 2022. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for ABBEVILLE DIALYSIS below.

NPI Profile for
TOTAL RENAL CARE INC

NPI Number
1720305774
Enumeration Date

(more than 16 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
TOTAL RENAL CARE INC
Doing Business As (dba): ABBEVILLE DIALYSIS
Primary location
904 W GREENWOOD ST
ABBEVILLE, SC 29620-5687
Phone: (864) 459-0347 Fax: (864) 459-5879
Mailing address
5200 VIRGINIA WAY
L&C DEPT
BRENTWOOD, TN 37027-7569
Phone: (615) 320-4593 Fax: (800) 293-5872
Organization Subpart
No
Authorized Official
JOHN WINSTEL
CHIEF ACCOUNTING OFFICER, TREASURER
Phone: (253) 733-4501
Updated
Certification Date
Mar 31, 2022

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Identifiers

Identifiers for ABBEVILLE DIALYSIS

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
MEDICAIDSCRE0025
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261QE0700X
- Clinic/Center / End-Stage Renal Disease (ESRD) Treatment (Primary)
SC ERD-0191

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.